Document Detail

Role of endovaginal sonography in the diagnosis and management of ectopic pregnancy.
MedLine Citation:
PMID:  8835969     Owner:  NLM     Status:  MEDLINE    
Although diagnostic laparoscopy is still considered the standard reference in the diagnosis of ectopic pregnancy (EP), use of high-resolution endovaginal sonography, in conjunction with qualitative serum assays of the beta subunit of human chorionic gonadotropin (beta-hCG), allows detection of earlier and smaller EPs. The most common endovaginal sonographic finding of EP (89%-100% of cases) is an extraovarian, round or elongated, solid tubal mass. A tubal ring (an extrauterine saclike structure) is the second most common finding (40%-68% of cases). Pelvic fluid may be present, but it is a nonspecific finding. An EP may have a pseudosac, which can be distinguished sonographically from the true gestational sac of an intrauterine pregnancy. Color Doppler techniques can complement endovaginal sonographic findings, but they should be performed only after a thorough real-time evaluation of the adnexal region. Current therapeutic options for EP include expectant management (ie, close follow-up), medical treatment (usually injections of methotrexate), and surgery. Accurate diagnosis with endovaginal sonography is the prerequisite to nonsurgical management, since surgery is the logical treatment if laparoscopy is used for diagnosis.
M Atri; C Leduc; P Gillett; P M Bret; C Reinhold; G Kintzen; A E Aldis; M Thibodeau
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  16     ISSN:  0271-5333     ISO Abbreviation:  Radiographics     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-11     Completed Date:  1996-12-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  755-74; discussion 775     Citation Subset:  IM    
Department of Radiology, Montreal General Hospital, McGill University, Quebec, Canada.
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MeSH Terms
Chorionic Gonadotropin, beta Subunit, Human / analysis
Pregnancy, Ectopic / diagnosis,  therapy,  ultrasonography*
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human

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